Individual
NASEEMA SHAFI MAIARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
(860) 679-2808
(860) 679-1330
Mailing address
133 SCOVILLE ST, WATERBURY, CT 06706-5812
(203) 709-7055
(203) 709-7055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009793
CT
1223G0001X
General Practice Dentistry
150564
NC
Other
Enumeration date
03/05/2007
Last updated
03/26/2013
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